Bingenheimer Katja, Temprado Jean Jacques, Harnagea Marta, Bricot Nicolas, Villani Patrick, Berton Eric
AP-HM, Hôpital Sainte Marguerite, Service de Médecine Interne, Gériatrie & Thérapeutique, Marseille 13009 France.
Aix-Marseille Université, Institut des Sciences du Mouvement, UMR 7287, Marseille, France.
Neurosci Lett. 2015 Mar 4;589:176-80. doi: 10.1016/j.neulet.2015.01.054. Epub 2015 Jan 23.
We investigated the effects of lightly touching fixed and mobile supports on gait parameters and center of mass oscillations in visually restricted young adults. Fourteen healthy male and female adults of mean=23.6 years (SD=1.6 years). Twelve walking conditions were completed on the GAITRite measurement system, resulting from crossing 3 conditions of visual restriction (no restriction, partial restriction, blindfolded) and 4 conditions of haptic supplementation (no supplementation, with a cane used as "light touch", with a cane sliding on the ground, while touching a soft elastic handrail). Gait speed, stance time, step length and the basis of support were measured. Accelerations of center of mass were also recorded through an accelerometer and the displacements of center of mass were analyzed. Results showed that visual restriction decreased in gait speed, reduced step length, while it increased the base of support and the amplitude of CoM displacements. In the full restriction condition, haptic supplementation provided by the use of the classic cane improved normalized stance time (%). In addition, in the no vision condition, both the classic cane and the soft handrail increased step length and reduced medio-lateral oscillations of the CoM. These results suggest that in visually restricted healthy adults, lightly touching a fixed (soft handrail) or a mobile (classic cane) support contributes to adaptation of gait parameters and postural control during locomotion.
我们研究了轻触固定和移动支撑物对视觉受限的年轻成年人步态参数和质心振荡的影响。14名健康的成年男女,平均年龄为23.6岁(标准差为1.6岁)。在GAITRite测量系统上完成了12种步行条件,这些条件是由3种视觉受限情况(无限制、部分限制、蒙眼)和4种触觉补充情况(无补充、使用拐杖作为“轻触”、拐杖在地面滑动、触摸柔软的弹性扶手)交叉组合而成。测量了步态速度、站立时间、步长和支撑基底。还通过加速度计记录了质心加速度,并分析了质心位移。结果表明,视觉受限会降低步态速度、减小步长,同时会增加支撑基底和质心位移的幅度。在完全受限的情况下,使用传统拐杖提供的触觉补充改善了标准化站立时间(%)。此外,在无视觉的情况下,传统拐杖和柔软扶手都增加了步长并减少了质心的中外侧振荡。这些结果表明,在视觉受限的健康成年人中,轻触固定(柔软扶手)或移动(传统拐杖)支撑物有助于在运动过程中调整步态参数和姿势控制。